Nursing care provided to a patient diagnosed with schizophrenia, using the International Classification for Nursing Practice (ICNP®)

Piotr Pawłowski, R. Markiewicz, B. Dobrowolska
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Abstract

Abstract Introduction. Schizophrenia spectrum disorders are a major challenge for modern psychiatry. Epidemiological data indicate an increasing trend in the prevalence of such disorders, as well as other disorders from the schizophrenia spectrum. In a long-term perspective, this means that highly specialised (both nursing and medical) care, broadly understood community care, and innovative rehabilitation methods able to reduce cognitive and executive deficits will be necessary. Aim. The aim of this paper is to propose the use of the International Classification for Nursing Practice (ICNP®) in the process of diagnosing and planning care for patients with schizophrenia. Material and method. The paper is based on the individual case study method and for the analysis of the obtained data the following research techniques were used: interview, observation, measurement, documentation analysis. The research tools: Individual Nursing Care Card, Mental Health Assessment Card, SAD PERSONS Scale for Suicide Risk Assessment, Beck Depression Inventory (BDI), Global Assessment of Functioning (GAF), Hospital Anxiety and Depression Scale (HADS), and C-HOBIC Fatigue Assessment Scale. Results. The collected data allow the formulation of 15 diagnoses in accordance with ICNP®. For the three selected diagnoses, a nursing care plan was drawn up, which included, depending on the patient’s needs, nursing interventions. Conclusions. ICNP® as a classification of nursing diagnoses allows the drafting of nursing diagnoses related to the mental state of the subject of care; various interventions provide a large selection of them.
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使用国际护理实践分类(ICNP®)向诊断为精神分裂症患者提供的护理
摘要介绍。精神分裂症谱系障碍是现代精神病学面临的重大挑战。流行病学数据表明,这类疾病以及精神分裂症谱系中的其他疾病的患病率呈上升趋势。从长远来看,这意味着高度专业化(护理和医疗)护理、广泛理解的社区护理和能够减少认知和执行缺陷的创新康复方法将是必要的。的目标。本文的目的是建议在精神分裂症患者的诊断和计划护理过程中使用国际护理实践分类(ICNP®)。材料和方法。本文基于个案研究法,对所获得的数据进行分析,采用了以下研究技术:访谈,观察,测量,文献分析。研究工具:个人护理卡、心理健康评估卡、SAD自杀风险评估量表、贝克抑郁量表(BDI)、整体功能评估量表(GAF)、医院焦虑抑郁量表(HADS)、C-HOBIC疲劳量表。结果。收集的数据允许根据ICNP®制定15种诊断。对于选定的三种诊断,制定了护理计划,其中包括,根据病人的需要,护理干预。结论。ICNP®作为护理诊断的分类,允许起草与护理主体的精神状态相关的护理诊断;各种干预措施提供了大量的选择。
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